Presenters or authors on this event have been recognized as RSNA Honored Educators for participating in multiple qualifying educational activities. Honored Educators are invested in furthering the profession of radiology by delivering high-quality educational content in their field of study. Learn how you can become an honored educator by visiting the website at: https://www.rsna.org/Honored-Educator-Award/ David B. Larson, MD, MBA - 2014 Honored Educator

1) To review the important categories of change needed to switch from peer review to peer learning and improvement. 2) Sequestering learning and improvement activities from monitoring for deficient performance. 3) Method of case identification: moving from random sampling of cases to active inclusion of identified learning opportunities. 4) Replacing numerical scoring of errors with qualitative descriptions of learning opportunities. 5) Organizing the peer learning program. 6) Providing confidential, constructive feedback to individuals. 7) Conducting effective learning conferences. 8) Linking the peer learning program to process improvement. 9) Meeting requirements for Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE).

To review the important categories of change needed to switch from peer review to peer learning and improvement: 1) sequestering learning and improvement activities from monitoring for deficient performance, 2) method of case identification: moving from random sampling of cases to active inclusion of identified learning opportunities, 3) replacing numerical scoring of errors with qualitative descriptions of learning opportunities, 4) organizing the peer learning program, 5) providing confidential, constructive feedback to individuals, 6) conducting effective learning conferences, 7) linking the peer learning program to process improvement, and 8) meeting requirements for Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE).

obrook@bidmc.harvard.edu

1) To demonstrate ways that may help to improve patient outcomes through imaging. 2) Focus on the imaging findings that will impact patient outcomes, rather on incidental findings which are unlikely to cause future morbidity and mortality is the important first step. 3) Evaluation of incidental findings causes significant patient anxiety, increases health care costs and may cause potential morbidity and mortality from procedures to diagnose potentially benign findings. 4) For certain findings, such as renal cysts, IPMNs, adrenal adenomas we already have sufficient evidence that follow up should be limited or not needed, while for others we still need to gather evidence. 5) Standardization of radiology practice whether it involves use of structured reporting, pre-procedure / post procedure checklists or standard but tailored imaging protocols has a potential to vastly improve patient outcomes. 6) Identifying best practices and adhering to them will go a long way to improve patient outcomes. 7) Focus on improving patient satisfaction with radiology services has a potential to improve actual patient outcomes as well; if we make imaging test convenient and pleasant as possible, we increase chances of the patient coming back for required follow-up or intervention.